Cross Country Healthcare Announces Third Quarter 2017 Financial Results
FINANCIAL HIGHLIGHTS:
Amounts are in thousands, except percent and per share data |
Q3 2017 |
Variance |
Variance |
||||||||||
Revenue |
$ |
228,488 |
6 |
% |
9 |
% |
|||||||
Gross profit margin* |
26.5 |
% |
(60) |
bps |
(50) |
bps |
|||||||
Net income attributable to common shareholders |
$ |
6,723 |
(52) |
% |
39 |
% |
|||||||
Diluted EPS |
$ |
0.19 |
$ |
(0.03) |
$ |
0.06 |
|||||||
Adjusted EBITDA* |
$ |
13,769 |
5 |
% |
27 |
% |
|||||||
Adjusted EPS* |
$ |
0.23 |
$ |
(0.01) |
$ |
0.07 |
* Refer to accompanying tables and discussion of Non-GAAP financial measures below.
"This was a good quarter that sets us up for an improved financial performance in 2018," said
Third quarter consolidated revenue was
For the nine months ended
Quarterly Business Segment Highlights
Nurse and
Revenue from Nurse and
Revenue from
Other Human Capital Management Services
Revenue from Other Human Capital Management Services was
Cash Flow and Balance Sheet Highlights
Cash flow provided by operating activities for the quarter was
Outlook for Fourth Quarter 2017
Q4 2017 Range |
Year-over-Year |
Sequential | |||
Change |
Change | ||||
Revenue |
|
0% - 2% |
(2)% - 0% | ||
Gross profit margin |
26.3% - 26.8% |
40 - 90 bps |
(20) - 30 bps | ||
Adjusted EBITDA |
|
8% - 17% |
(6)% - 2% | ||
Adjusted EPS |
|
|
|
The estimates above are based on current management expectations and, as such, are forward-looking and actual results may differ materially. This guidance reflects an estimated negative impact on revenue from weather events of approximately
INVITATION TO CONFERENCE CALL
The Company will hold its quarterly conference call on
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Copies of this and other news releases as well as additional information about
NON-GAAP FINANCIAL MEASURES
This press release and accompanying financial statement tables reference non-GAAP financial measures. Such non-GAAP financial measures are provided as additional information and should not be considered substitutes for, or superior to, financial measures calculated in accordance with
FORWARD LOOKING STATEMENT
In addition to historical information, this press release contains statements relating to our future results (including certain projections and business trends) that are "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and are subject to the "safe harbor" created by those sections. Forward-looking statements consist of statements that are predictive in nature, depend upon or refer to future events. Words such as "expects", "anticipates", "intends", "plans", "believes", "estimates", "suggests", "appears", "seeks", "will", and variations of such words and similar expressions are intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our
actual results and performance to be materially different from any future results or performance expressed or implied by these forward-looking statements. These factors include, but are not limited to, the following: our ability to attract and retain qualified nurses, physicians and other healthcare personnel, costs and availability of short-term housing for our travel healthcare professionals, demand for the healthcare services we provide, both nationally and in the regions in which we operate, the functioning of our information systems, the effect of cyber security risks and cyber incidents on our business, the effect of existing or future government regulation and federal and state legislative and enforcement initiatives on our business, our clients' ability to pay us for our services, our ability to successfully implement our acquisition and development strategies, including our
ability to successfully integrate acquired businesses and realize synergies from such acquisitions, the effect of liabilities and other claims asserted against us, the effect of competition in the markets we serve, our ability to successfully defend the Company, its subsidiaries, and its officers and directors on the merits of any lawsuit or determine its potential liability, if any, and other factors set forth in Item 1A. "Risk Factors" in the Company's Annual Report on Form 10-K for the year ended
Although we believe that these statements are based upon reasonable assumptions, we cannot guarantee future results and readers are cautioned not to place undue reliance on these forward-looking statements, which reflect management's opinions only as of the date of this press release. There can be no assurance that (i) we have correctly measured or identified all of the factors affecting our business or the extent of these factors' likely impact, (ii) the available information with respect to these factors on which such analysis is based is complete or accurate, (iii) such analysis is correct or (iv) our strategy, which is based in part on this analysis, will be successful. The Company undertakes no obligation to update or revise forward-looking statements. All references to "we", "us", "our", or "Cross Country" in this press release mean
| ||||||||||||||||||||||
Consolidated Statements of Operations | ||||||||||||||||||||||
(Unaudited, amounts in thousands, except per share data) | ||||||||||||||||||||||
Three Months Ended |
Nine Months Ended | |||||||||||||||||||||
|
|
|
|
| ||||||||||||||||||
2017 |
2016 |
2017 |
2017 |
2016 | ||||||||||||||||||
Revenue from services |
$ |
228,488 |
$ |
214,988 |
$ |
209,313 |
$ |
645,374 |
$ |
611,014 | ||||||||||||
Operating expenses: |
||||||||||||||||||||||
Direct operating expenses |
168,008 |
156,778 |
152,785 |
475,091 |
446,912 | |||||||||||||||||
Selling, general and administrative expenses |
47,346 |
45,922 |
46,600 |
141,182 |
133,530 | |||||||||||||||||
Bad debt expense |
433 |
19 |
326 |
1,082 |
496 | |||||||||||||||||
Depreciation and amortization |
2,849 |
2,092 |
2,285 |
7,325 |
6,969 | |||||||||||||||||
Acquisition-related contingent consideration (a) |
(605) |
237 |
281 |
(54) |
707 | |||||||||||||||||
Acquisition and integration costs (b) |
1,366 |
— |
587 |
1,953 |
— | |||||||||||||||||
Restructuring costs (c) |
724 |
611 |
— |
724 |
611 | |||||||||||||||||
Impairment charges (d) |
— |
— |
— |
— |
24,311 | |||||||||||||||||
Total operating expenses |
220,121 |
205,659 |
202,864 |
627,303 |
613,536 | |||||||||||||||||
Income (loss) from operations |
8,367 |
9,329 |
6,449 |
18,071 |
(2,522) | |||||||||||||||||
Other expenses (income): |
||||||||||||||||||||||
Interest expense |
1,221 |
1,435 |
535 |
2,975 |
4,678 | |||||||||||||||||
Gain on derivative liability (e) |
— |
(7,105) |
— |
(1,581) |
(19,970) | |||||||||||||||||
Loss on early extinguishment of debt (f) |
— |
— |
— |
4,969 |
1,568 | |||||||||||||||||
Other income, net |
(57) |
(92) |
(59) |
(116) |
(143) | |||||||||||||||||
Income before income taxes |
7,203 |
15,091 |
5,973 |
11,824 |
11,345 | |||||||||||||||||
Income tax expense (benefit) |
159 |
802 |
753 |
1,278 |
(5,035) | |||||||||||||||||
Consolidated net income |
7,044 |
14,289 |
5,220 |
10,546 |
16,380 | |||||||||||||||||
Less: Net income attributable to noncontrolling interest in subsidiary |
321 |
223 |
370 |
983 |
529 | |||||||||||||||||
Net income attributable to common shareholders |
$ |
6,723 |
$ |
14,066 |
$ |
4,850 |
$ |
9,563 |
$ |
15,851 | ||||||||||||
Net income per share attributable to common shareholders - Basic |
$ |
0.19 |
$ |
0.44 |
$ |
0.14 |
$ |
0.28 |
$ |
0.49 | ||||||||||||
Net income (loss) per share attributable to common shareholders - Diluted |
$ |
0.19 |
$ |
0.22 |
$ |
0.13 |
$ |
0.24 |
$ |
(0.04) | ||||||||||||
Weighted average common shares outstanding: |
||||||||||||||||||||||
Basic |
35,748 |
32,221 |
35,651 |
34,768 |
32,088 | |||||||||||||||||
Diluted (g) |
36,036 |
36,255 |
36,021 |
36,179 |
36,215 |
| ||||||||||||||||||||||
Reconciliation of Non-GAAP Financial Measures | ||||||||||||||||||||||
(Unaudited, amounts in thousands, except per share data) | ||||||||||||||||||||||
Three Months Ended |
Nine Months Ended | |||||||||||||||||||||
|
|
|
|
| ||||||||||||||||||
2017 |
2016 |
2017 |
2017 |
2016 | ||||||||||||||||||
Adjusted EBITDA: (h) |
||||||||||||||||||||||
Net income attributable to common shareholders |
$ |
6,723 |
$ |
14,066 |
$ |
4,850 |
$ |
9,563 |
$ |
15,851 | ||||||||||||
Depreciation and amortization |
2,849 |
2,092 |
2,285 |
7,325 |
6,969 | |||||||||||||||||
Interest expense |
1,221 |
1,435 |
535 |
2,975 |
4,678 | |||||||||||||||||
Income tax expense (benefit) |
159 |
802 |
753 |
1,278 |
(5,035) | |||||||||||||||||
Acquisition-related contingent consideration (a) |
(605) |
237 |
281 |
(54) |
707 | |||||||||||||||||
Acquisition and integration costs (b) |
1,366 |
— |
587 |
1,953 |
— | |||||||||||||||||
Restructuring costs (c) |
724 |
611 |
— |
724 |
611 | |||||||||||||||||
Impairment charges (d) |
— |
— |
— |
— |
24,311 | |||||||||||||||||
Gain on derivative liability (e) |
— |
(7,105) |
— |
(1,581) |
(19,970) | |||||||||||||||||
Loss on early extinguishment of debt (f) |
— |
— |
— |
4,969 |
1,568 | |||||||||||||||||
Other income, net |
(57) |
(92) |
(59) |
(116) |
(143) | |||||||||||||||||
Equity compensation |
1,068 |
847 |
1,278 |
3,083 |
2,614 | |||||||||||||||||
Net income attributable to noncontrolling interest in |
321 |
223 |
370 |
983 |
529 | |||||||||||||||||
Adjusted EBITDA (h) |
$ |
13,769 |
$ |
13,116 |
$ |
10,880 |
$ |
31,102 |
$ |
32,690 | ||||||||||||
Adjusted EPS: (i) |
||||||||||||||||||||||
Numerator: |
||||||||||||||||||||||
Net income attributable to common shareholders |
$ |
6,723 |
$ |
14,066 |
$ |
4,850 |
$ |
9,563 |
$ |
15,851 | ||||||||||||
Non-GAAP adjustments - pretax: |
||||||||||||||||||||||
Acquisition-related contingent consideration (a) |
(605) |
237 |
281 |
(54) |
707 | |||||||||||||||||
Acquisition and integration costs (b) |
1,366 |
— |
587 |
1,953 |
— | |||||||||||||||||
Restructuring costs (c) |
724 |
611 |
— |
724 |
611 | |||||||||||||||||
Impairment charges (d) |
— |
— |
— |
— |
24,311 | |||||||||||||||||
Gain on derivative liability (e) |
— |
(7,105) |
— |
(1,581) |
(19,970) | |||||||||||||||||
Loss on early extinguishment of debt (f) |
— |
— |
— |
4,969 |
1,568 | |||||||||||||||||
Tax impact of non-GAAP adjustments (j) |
— |
— |
— |
— |
(7,036) | |||||||||||||||||
Adjusted net income attributable to common shareholders - non-GAAP |
$ |
8,208 |
$ |
7,809 |
$ |
5,718 |
$ |
15,574 |
$ |
16,042 | ||||||||||||
Denominator: |
||||||||||||||||||||||
Weighted average common shares - basic, GAAP |
35,748 |
32,221 |
35,651 |
34,767 |
32,088 | |||||||||||||||||
Dilutive impact of share-based payments |
288 |
512 |
370 |
444 |
606 | |||||||||||||||||
Adjusted weighted average common shares - diluted, non-GAAP |
36,036 |
32,733 |
36,021 |
35,211 |
32,694 | |||||||||||||||||
Reconciliation: (i) |
||||||||||||||||||||||
Diluted EPS, GAAP |
$ |
0.19 |
$ |
0.22 |
$ |
0.13 |
$ |
0.24 |
$ |
(0.04) | ||||||||||||
Non-GAAP adjustments - pretax: |
||||||||||||||||||||||
Acquisition-related contingent consideration (a) |
(0.02) |
0.01 |
0.01 |
— |
0.02 | |||||||||||||||||
Acquisition and integration costs (b) |
0.04 |
— |
0.02 |
0.06 |
— | |||||||||||||||||
Restructuring costs (c) |
0.02 |
0.02 |
— |
0.02 |
0.02 | |||||||||||||||||
Impairment charges (d) |
— |
— |
— |
— |
0.74 | |||||||||||||||||
Gain on derivative liability (e) |
— |
(0.22) |
— |
(0.05) |
(0.61) | |||||||||||||||||
Loss on early extinguishment of debt (f) |
— |
— |
— |
0.15 |
0.05 | |||||||||||||||||
Tax impact of non-GAAP adjustments (j) |
— |
— |
— |
— |
(0.22) | |||||||||||||||||
Adjustment for change in dilutive shares |
— |
0.21 |
— |
0.02 |
0.53 | |||||||||||||||||
Adjusted EPS, non-GAAP (i) |
$ |
0.23 |
$ |
0.24 |
$ |
0.16 |
$ |
0.44 |
$ |
0.49 |
| ||||||||
Consolidated Balance Sheets | ||||||||
(Unaudited, amounts in thousands) | ||||||||
|
| |||||||
2017 |
2016 | |||||||
Assets |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ |
10,765 |
$ |
20,630 | ||||
Accounts receivable, net |
181,608 |
173,620 | ||||||
Prepaid expenses |
5,142 |
6,126 | ||||||
Insurance recovery receivable |
2,813 |
3,037 | ||||||
Other current assets |
1,654 |
2,198 | ||||||
Total current assets |
201,982 |
205,611 | ||||||
Property and equipment, net |
14,075 |
12,818 | ||||||
|
123,244 |
79,648 | ||||||
Trade names, indefinite-lived |
35,402 |
35,402 | ||||||
Other intangible assets, net |
62,763 |
36,835 | ||||||
Other non-current assets |
19,190 |
18,064 | ||||||
Total assets |
$ |
456,656 |
$ |
388,378 | ||||
Liabilities and Stockholders' Equity |
||||||||
Current liabilities: |
||||||||
Accounts payable and accrued expenses |
$ |
55,034 |
$ |
58,837 | ||||
Accrued employee compensation and benefits |
32,039 |
33,243 | ||||||
Other current liabilities |
7,146 |
5,012 | ||||||
Total current liabilities |
94,219 |
97,092 | ||||||
Long-term debt and capital lease obligations |
95,331 |
84,760 | ||||||
Non-current deferred tax liabilities |
14,763 |
13,154 | ||||||
Long-term accrued claims |
30,695 |
28,870 | ||||||
Contingent consideration |
4,618 |
5,301 | ||||||
Other long-term liabilities |
7,682 |
7,399 | ||||||
Total liabilities |
247,308 |
236,576 | ||||||
Commitments and contingencies |
||||||||
Stockholders' equity: |
||||||||
Common stock |
4 |
3 | ||||||
Additional paid-in capital |
304,957 |
256,570 | ||||||
Accumulated other comprehensive loss |
(1,198) |
(1,241) | ||||||
Accumulated deficit |
(95,061) |
(104,089) | ||||||
|
208,702 |
151,243 | ||||||
Noncontrolling interest in subsidiary |
646 |
559 | ||||||
Total stockholders' equity |
209,348 |
151,802 | ||||||
Total liabilities and stockholders' equity |
$ |
456,656 |
$ |
388,378 |
| |||||||||||||||||||||||
Segment Data (k) | |||||||||||||||||||||||
(Unaudited, amounts in thousands) | |||||||||||||||||||||||
Three Months Ended |
% Change Fav/(Unfav) | ||||||||||||||||||||||
|
% of |
|
% of |
|
% of |
Year-over- |
|||||||||||||||||
2017 |
Total |
2016 |
Total |
2017 |
Total |
Year |
Sequential | ||||||||||||||||
Revenue from services: |
|||||||||||||||||||||||
Nurse and |
$ |
200,492 |
88 |
% |
$ |
186,623 |
87 |
% |
$ |
180,927 |
86 |
% |
7 |
% |
11 |
% | |||||||
|
24,871 |
11 |
% |
25,090 |
12 |
% |
24,720 |
12 |
% |
(1) |
% |
1 |
% | ||||||||||
Other |
3,125 |
1 |
% |
3,275 |
1 |
% |
3,666 |
2 |
% |
(5) |
% |
(15) |
% | ||||||||||
$ |
228,488 |
100 |
% |
$ |
214,988 |
100 |
% |
$ |
209,313 |
100 |
% |
6 |
% |
9 |
% | ||||||||
Contribution income: (l) |
|||||||||||||||||||||||
Nurse and |
$ |
20,663 |
$ |
19,472 |
$ |
18,141 |
6 |
% |
14 |
% | |||||||||||||
|
1,340 |
2,400 |
2,047 |
(44) |
% |
(35)% |
|||||||||||||||||
Other Human Capital Management Services |
(1) |
(154) |
241 |
99 |
% |
(100) |
% | ||||||||||||||||
22,002 |
21,718 |
20,429 |
1 |
% |
8 |
% | |||||||||||||||||
Unallocated corporate overhead (m) |
9,301 |
9,449 |
10,827 |
2 |
% |
14 |
% | ||||||||||||||||
Depreciation and amortization |
2,849 |
2,092 |
2,285 |
(36) |
% |
(25) |
% | ||||||||||||||||
Acquisition-related contingent consideration (a) |
(605) |
237 |
281 |
355 |
% |
315 |
% | ||||||||||||||||
Acquisition and integration costs (b) |
1,366 |
— |
587 |
(100) |
% |
(133) |
% | ||||||||||||||||
Restructuring costs (c) |
724 |
611 |
— |
(18) |
% |
(100) |
% | ||||||||||||||||
Income from operations |
$ |
8,367 |
$ |
9,329 |
$ |
6,449 |
(10) |
% |
30 |
% | |||||||||||||
Nine Months Ended |
% Change Fav/(Unfav) |
||||||||||||||||||||||
|
% of |
|
% of |
Year-over- |
|||||||||||||||||||
2017 |
Total |
2016 |
Total |
||||||||||||||||||||
Revenue from services: |
|||||||||||||||||||||||
Nurse and |
$ |
564,527 |
87 |
% |
$ |
527,436 |
86 |
% |
7 |
% |
|||||||||||||
|
71,055 |
11 |
% |
73,470 |
12 |
% |
(3) |
% |
|||||||||||||||
Other Human Capital Management Services |
9,792 |
2 |
% |
10,108 |
2 |
% |
(3) |
% |
|||||||||||||||
$ |
645,374 |
100 |
% |
$ |
611,014 |
100 |
% |
6 |
% |
||||||||||||||
Contribution income: (l) |
|||||||||||||||||||||||
Nurse and |
$ |
54,426 |
$ |
53,877 |
1 |
% |
|||||||||||||||||
|
4,207 |
6,003 |
(30) |
% |
|||||||||||||||||||
Other Human Capital Management Services |
(200) |
(196) |
(2) |
% |
|||||||||||||||||||
58,433 |
59,684 |
(2) |
% |
||||||||||||||||||||
Unallocated corporate overhead (m) |
30,414 |
29,608 |
(3) |
% |
|||||||||||||||||||
Depreciation and amortization |
7,325 |
6,969 |
(5) |
% |
|||||||||||||||||||
Acquisition-related contingent consideration (a) |
(54) |
707 |
108 |
% |
|||||||||||||||||||
Acquisition and integration costs (b) |
1,953 |
— |
(100) |
% |
|||||||||||||||||||
Restructuring costs (c) |
724 |
611 |
(18) |
% |
|||||||||||||||||||
Impairment charges (d) |
— |
24,311 |
100 |
% |
|||||||||||||||||||
Income (loss) from operations |
$ |
18,071 |
$ |
(2,522) |
817 |
% |
|||||||||||||||||
| ||||||||||||||||||||||||||
Other Financial Data | ||||||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||||
Three Months Ended |
Nine Months Ended | |||||||||||||||||||||||||
|
|
|
|
| ||||||||||||||||||||||
2017 |
2016 |
2017 |
2017 |
2016 | ||||||||||||||||||||||
Net cash provided by operating activities (in |
$ |
3,180 |
$ |
19,402 |
$ |
24,115 |
$ |
28,705 |
$ |
32,269 |
||||||||||||||||
Consolidated gross profit margin (n) |
26.5 |
% |
27.1 |
% |
27.0 |
% |
26.4 |
% |
26.9 |
% | ||||||||||||||||
Nurse and |
||||||||||||||||||||||||||
FTEs (o) |
7,706 |
6,954 |
7,155 |
7,355 |
6,885 |
|||||||||||||||||||||
Average Nurse and |
$ |
283 |
$ |
292 |
$ |
278 |
$ |
281 |
$ |
280 |
||||||||||||||||
|
||||||||||||||||||||||||||
Days filled (q) |
15,777 |
16,639 |
15,220 |
46,033 |
47,961 |
|||||||||||||||||||||
Revenue per day filled (r) |
$ |
1,562 |
$ |
1,576 |
$ |
1,557 |
$ |
1,570 |
$ |
1,542 |
||||||||||||||||
(a) |
Acquisition-related contingent consideration represents the fair value and accretion adjustments to the contingent consideration liabilities for the Mediscan acquisition that closed on |
(b) |
Acquisition and integration costs are primarily related to legal and advisory fees for the |
(c) |
Restructuring costs related to severance and lease consolidations incurred as part of our separate and discrete cost savings initiative. |
(d) |
The nine months ended |
(e) |
Gain on derivative liability represents the change in the fair value of embedded features of our Convertible Notes up until their repayment. |
(f) |
Loss on early extinguishment of debt for the nine months ended |
(g) |
When applying the if-converted method to our Convertible Notes, 3,521,126 shares were included in diluted weighted average shares for the three and nine months ended |
(h) |
Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as net income attributable to common shareholders before depreciation and amortization, interest expense, income tax expense (benefit), acquisition-related contingent consideration, acquisition and integration costs, restructuring costs, impairment charges, gain on derivative liability, loss on early extinguishment of debt, other income, net, equity compensation, and includes net income attributable to noncontrolling interest in subsidiary. Adjusted EBITDA should not be considered a measure of financial performance under GAAP. Management presents Adjusted EBITDA because it believes that Adjusted EBITDA is a useful supplement to net income attributable to common shareholders as an indicator of operating performance. Management uses Adjusted EBITDA for planning purposes and as one performance measure in its incentive programs for certain members of its management team. Adjusted EBITDA, as defined, closely matches the operating measure typically used in the Company's credit facilities in calculating various ratios. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue. |
(i) |
Adjusted EPS, a non-GAAP financial measure, is defined as net income (loss) attributable to common shareholders per diluted share before the diluted EPS impact of acquisition-related contingent consideration, acquisition and integration costs, restructuring costs, impairment charges, gain on |
(j) |
Tax impact on the non-GAAP items is related to the impairment charges on indefinite-lived intangible assets of the |
(k) |
Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC. |
(l) |
Contribution income is defined as income or loss from operations before depreciation and amortization, acquisition-related contingent consideration, acquisition and integration costs, restructuring costs, impairment charges, and corporate expenses not specifically identified to a reporting segment. Contribution income is a financial measure used by management when assessing segment performance. |
(m) |
Unallocated corporate overhead includes corporate compensation and benefits, and general and administrative expenses including rent and utilities, computer supplies and expenses, insurance, professional expenses, corporate-wide projects (initiatives), and public company expense. |
(n) |
Gross profit is defined as revenue from services less direct operating expenses. The Company's gross profit excludes allocated depreciation and amortization expense. Gross profit margin is calculated by dividing gross profit by revenue from services. |
(o) |
FTEs represent the average number of Nurse and |
(p) |
Average revenue per FTE per day is calculated by dividing the Nurse and |
(q) |
Days filled is calculated by dividing the total hours invoiced during the period by 8 hours. This method does not reflect the impact of revenue generated from permanent placements, reimbursed expenses, discounts and allowances, and the impact from accruals and adjustments recorded for financial statement purposes. |
(r) |
Revenue per day filled is calculated by dividing revenue invoiced by days filled for the period presented. |
President & Chief Executive Officer
wgrubbs@crosscountry.com
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